Active NPI
Jacob Miles, DPT
- Physical Therapist
- Lexington, KY
National Provider Identifier
1912370313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006747
- Practice address
- 3217 Summit Square PL
Lexington, KY 40509-2641 - Phone
- (859) 263-8080
- Fax
- (859) 263-8775
- NPI assigned
- Nov 6, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006747 | KY | Primary |
Addresses
Primary practice location
3217 Summit Square PL
Lexington, KY 40509-2641
Mailing address
3217 Summit Square PL
Lexington, KY 40509-2641
Phone (859) 263-8080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006747 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1912370313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3217 SUMMIT SQUARE PL",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092641",
"telephone_number": "859-263-8080",
"fax_number": "859-263-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3217 SUMMIT SQUARE PL",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092641",
"telephone_number": "859-263-8080",
"fax_number": "859-263-8775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "JACOB",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-06",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "006747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.